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<br />OWNER'S NAME-lJ~de()( <br />JOB SITE ADDRESS ~f) 3 'I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />nUILDING DEPARTMENT 5335 8~ STaBBT ZB~HYRHILLS, PL 33540 <br />Phone:813~780-0020 raxt813-780~0021 <br />OATH RECBIVED <br />PLANS RBViBW PEB <br /> <br />PHONE CONTACT( 7f I :D b ~ /;.1./6 'I~ <br /> <br />0+ 'FJ "rrJ~ <br />1$1 S-tr-lA <br />9D <br /> <br />LEGAL DESCRI~TION: LOT(S) <br /> <br />21"" yrJ. ./($ <br />BLOCK / J ~()/) <br /> <br />0900 <br /> <br />FL <br /> <br />SUBDIVISION <br /> <br />-- <br /> <br />PARCEL In #-1 () J.l .). I 00, 0 <br />WORK PROPSED: [JNEW CONSTRUCTION <br />OSIGN <br /> <br />) ') g06 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />it!- INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />D COMMERCIAL <br /> <br />OMULTI - FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />::r;. > k /IVji~" of:1 lh~il,j()rI''''' J iJ",lj '-h ROW I '7 fJ ~ -;" ~ <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINQ PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERT~ SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />:O~~1~F(ORM;;~ <br />j. [t~) <br />~p1Ii!!", ~' <br />i,~ <br />VALUATION OF TOTAL CONSTRUCTION / <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMB ING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OGAS <br /> <br />D ROOFING <br /> <br />D SPECIALl'~ <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL ~THER kV4/ j>R.r1vJl-f <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CER~ OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.~w*******.*****.*.*~**************..**********.*.*...******~***** <br /> <br />ELECTRICiAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING n <br /> <br />SIGNATURE <br /> <br />**************************.*.***************.******.*.************ <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE - <br /> <br />MECHANICAL <br /> <br />*****************************..***************.*.***************.. <br /> <br />COMPANY: <br />STATE CERT OR REGIST n <br />CITY PROCESSING # <br /> <br />Sl:GNATURE <br /> <br />OTHBR <br />SIGNATURE V~ Ba+F~...-- <br /> <br />*~****..***.*.*a****..*~.*******..**w*w*.**~*.**.*..*.._**..***** <br /> <br /> <br />COMPANY~kj.N. of Pkr-.-JtA. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # c::z 9 dZ 0 <br /> <br />****......**....***w**************.._*****************._..******. <br /> <br />f~ 'd <br /> <br />Z880'ON <br /> <br />SllIHHAHri:j7 10 AII~ <br /> <br />Vl~U:7 Inn?'~ 'JeW <br />